Beruflich Dokumente
Kultur Dokumente
I, CARDI BEE, of legal age, after having been duly sworn in accordance with law,
depose and state that:
CARDI BEE
Affiant
NOTARY PUBLIC
SUBSCRIBED AND SWORN to before me, this JUNE 20, 2018, by Cardo Dalisay
who exhibited to me his Community Tax Certificate No. 123456 issued at Makati
City, Philippines on January 1, 2018.
Notary Public
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the City of Makati, personally appeared
Cardo Dalisay with Community Tax Certificate No. 123456 issued on January 1,
2018 at Makati City, and Cardi Bee with Community Tax Certificate No. 654321
issued on January 2018 at Makati City, both known to me and to me known to be the
same persons who executed the foregoing instrument which they acknowledged to me
to be their free and voluntary act and deed, consisting of only three (3) pages,
including this page in which this Acknowledgement is written, duly signed by them
and their instrumental witnesses on each and every page hereof.
NOTARY PUBLIC
CARDI BEE
Complainant CASE NO. ______________________
- Versus -
CARDO DALISAY
Respondent/s
COMES NOW the undersigned complainant in the above entitled case before
this Office, respectfully manifest:
That for in consideration of the sum of One Hundred Thousand Pesos
(P 100, 000) in settlement of my claim; as financial assistance given by my employer,
receipt of which is hereby acknowledge to my complete and full satisfaction. I hereby
release and discharge the employer and / or its officer, from any and all by way of
unpaid wages, separation pay, overtime pay, differential pay or otherwise as may be
due me/us incident to my/our past employment with said establishment. I/We hereby
state further that I have no more claim or cause of action of whatever nature whether
past, present or contingent against the said employer and/or its officer.
In view hereof, I hereby move for dismissal of the above entitle case and
further request that the same dropped from the business calendar of this office.
IN WITNESS WHEREOF, I/We hereunto set my hand this 20th day of June at
Makati City.
CARDI BEE
Complainant
Notary Public